| NPI | 1104216266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-099902) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN182841) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2021-12-22 |